• Proceedings of the KOR-BRONCHOESO Conference
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• 1997.04a
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• pp.115-115
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• 1997

성인에 있어서 급성 후두개염의 발생빈도는 점차 증가하고 있다는 보고들이 있다. 일명 성문상부염(supraglottitis)이라고도 불린다. 이는 비단 후두개뿐만 아니라, 성문상부 구조물의 광범위한 염증을 흔히 동반하기 때문이다. 항생제의 발달로 과거와 같은 심각한 호흡곤란및 급성 상기도 증상을 일으켜, 기관지 절개술 등을 필요로 하는 경우는 많이 줄었다 하더라도 여전히 급성상기도 폐쇄를 일으킬 수 있는 응급질환 중의 하나이다. 저자들은 최근 18년동안 본교실에서 급성 후두개염으로 진단받고 치료받은 성인환자 103례중 77례를 대상으로 후향적으로 임상적 특징, 검사소견, 치료성적 등을 비교, 분석하였다. 문헌고찰과 아울러 보고하고저 한다.

• Proceedings of the KOR-BRONCHOESO Conference
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• 1983.05a
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• pp.11.3-11
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• 1983

Acute epiglottitis is one of the common conditions of upper airway obstructions in children. The clinical course is not only fulminant but possibly fatal, resulting from massive swelling of supraglottic structures especially epiglottis caused by Hemophilus influenzae. This is so because early recognition and careful airway management is always desired. Numerous reports in the literature reveals that a majority of cases occurs mainly in young children under six years of age, however, recent reports of acute epiglottitis in adult is increasing. We present a series of acute epiglottitis in adult and a review of the literature. We also discuss the differences between acute epiglottitis in adult and in children in terms of clinical course, causative organism, management and the results of treatment.

• Tuberculosis and Respiratory Diseases
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• v.43 no.1
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• pp.88-91
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• 1996

Acute epiglottitis is a life threatening inflammatory. disease of the upper airway mainly in children, however, the recent reports about acute epiglottitis in adults are increasing. The common symptoms are sore throat, dysphagia, dyspnea and salivary drooling. As the laryngeal edema progresses, the patient sits up, leans forward, with the chin thrust forward, having obvious difficulty breathing. Early recognition and proper airway maintenance until the inflammatory edema subsides are essential steps to avoid a possible life threatening upper airway obstruction. We experienced two cases of acute epiglottitis with sitting up position, chin thrust forward, having dyspnea.

• Korean Journal of Head & Neck Oncology
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• v.26 no.2
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• pp.247-249
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• 2010

Laryngeal tuberculosis is very rare, but the most common sites of laryngeal lesions include true vocal cords and false vocal cords. The major symptoms of laryngeal tuberculosis are hoarseness, dysphagia, and cough. Epiglottic tuberculosis has rarely been reported. We experienced one case of epiglottic tuberculosis that presented as acute epiglottitis and report it with reviews of literature.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.30 no.2
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• pp.128-131
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• 2019

Acute supraglottitis is characterized by an inflammation and edema of the supraglottic region and a potential life-threatening condition because of its risk for sudden upper airway compromise. Prompt diagnosis, administration of broad spectrum antibiotics, and airway management is pivotal for reducing serious complications. In the immunocompromised host, microorganisms are more likely to elicit mucosal inflammations, thus clinicians should pay attention to those patients for prompt removal of the causes of immune disruption. Here we report a case of acute adult supraglottitis with neutropenia caused by anti-thyroid drug with a review of the related literatures.

• Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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• v.21 no.1
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• pp.48-53
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• 2010

Backgraound and Objectives : The voice change can occur in acute epiglottitis or peritonsillar abscess, and the labelings of both changes as a "muffled voice" or "hot potato voice", The aim of this study was to investigate the difference of changes in acoustic feature of voice before and after treatment in patients with acute epiglottitis or peritonsillar abscess. Subjects and Method: 13 patients with acute epiglottitis and 12 patients with peritonsillar abscess were enrolled in the study. Acoustic analysis on sustained Korean vowels /${\alpha}$/, /u/ and /i/ were performed before and after treatment. Results: In patients with acute epiglottitis, the first formant frequency (F1) of /${\alpha}$/ was increased, and the second frequency (F2) of /i/ was decreased. In patients with peritonsillar abscess, F1 and F2 of /${\alpha}$/ were decreased. F1 of /i/ and /u/ were increased, while F2 were decreased. Conclusion : The anatomical and functional changes of oropharynx and larynx by acute epiglottitis and peritonsillar abscess can cause different change in resonance and speech quality. We suggest that these changes could be the cause of 'muffled vocie' in patients of acute epiglottitis or peritonsillar abscess, but different characteristics of phonation in each disease should be distinguished.

• Korean Journal of Bronchoesophagology
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• v.17 no.2
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• pp.104-107
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• 2011

Background and Objectives Scope classification is designed to classify acute epiglottitis according to laryngoscopic findings. There is no report about the utility of classification; the difference between the diagnosis and the prognosis by the Scope classification was not found. The aim of this study was to evaluate the utility of Scope classification in patients with acute epiglottitis. Subject and Method 127 patients who had been admitted to our hospital were diagnosed with acute epiglottitis. The patients were classified by the Scope classification. We compared demographic characteristics, clinical symptoms and signs, laboratory findings, and clinical course among the patient groups and divided the results according to the Scope classification. Results There are no significant differences among the groups in demographic characteristics, clinical symptoms and signs, laboratory findings, and clinical course. Conclusion The Scope classification of acute epiglottitis does not seem to be a method to evaluate the severity of acute epiglottitis. Thus, we need to develop multidisciplinary approaches for acute epiglottitis.